HomeMy WebLinkAboutBuilding Permit 14-1025 GATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 124,011
ADDRESS LIct c--)&
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OWNER CONTR. j°�
PHONE NO.
PERMIT NO. J----- V
❑ FOOTING 0 PLUMBING RI 0 EXIGRAD!FILLING
❑ FOUNDATION
0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
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SITE INSPECTION 0 MECH
FINAL
COMMENTS:q 16,111- C
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• , ►, Q
0 WORK SATISFACTORY,PROCEED
CORRE ;CTION AND PROCEED
iiiii
0 CORRORK,CALL FOR REINSPECTION BEFORE COVERING
Inspecto . 'r Owner/Contr.
�•
CA 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
ration
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of PRIp�P CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
,, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 9 / f.
AND UTILITY CONNECTION PERMIT l
��NpggO�P I. White File PERMIT NO. ry ,---
3
Pink City c /�/ f J,
Yellow Applicant (((( C•�,J�
(Please type or print and sign at bottom)
ADDRESS ZONING(office use)
J49 5$' ?r1C ,� �o ‘n4 CrrGlC. / /sJ
LEGAL DESCRIPTION(office use only) ' ,L �',�`,� ),r� /7i1�J J
'7Z6 4
LOT (1810 I ON ES( L�t�C_�"�L PID f,J'C✓"( ! eY/ _
(Name)
3 (Al Q `d (Phone) q5D- L/76 -n583"7 5U
(Address) I
(Company Name)BUIL
) , ` `te \e_wC J 1 \ell se. (Phone) 1051 ', (0I ' 10 C
(Contact Name) /' (Phone)
(Address) 192077.0,--
2b W t ,,C 1. (,v-�s� , Se. ! rnty SS/ 3
TYPE OF WORK ❑New Construction ['Deck ❑Porch CIRe-Roofing [Me-Siding ['Lower Level Finish ❑Fireplace.. •
['Addition ❑Alteration ❑Utility Connection 1Q Ce. 1 (AA wan $ LA))l'/c QJ"(r 771 r5
CODE: ❑I.R.C. D.B.C. ❑ sc. i�I
Type of Construction: I II III IV V A B PROJECT COST/VALUEYV $ d �al—
Occupancy Group: ABE F HI MR SU (excluding land) `
Division: 1 2 3 4 5
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property hat all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that rhe building
offici an revoke this per . Just cause Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X • i • 7 130q J lel
Signature Contractor's License No. ate
Permit Valuation ..-' Park Support Fee # $
Permit Fee $ r P7 SAC # $
Plan Check Fee $ IJP Water Meter Size 5/8"; 1"; $
State Surcharge $ If.....,111 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ ' Builder's Deposit $
Sewer&Water Permit Fee $ Other 1 $ C /1:-S----
Gas
�
Gas Fireplace Permit Fee $ T T DUE / $ r
This Application Becomes Your Building Permit When Approved i- li r Receipt No. r
/21/42)
ate By
C ( ( 9 ,/, _
Building Official Date c...This
./This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372